| NPI | 1174620314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DELAROSA Chief Program Officer 929-241-4070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-07-11 |